Do You Suspect Your Virginia Employer Is Submitting False Claims to Medicaid? (Title)

Virginia Medicaid is a state funded health care program that uses taxpayer dollars to provide quality health care products and services to individuals and families that cannot afford them. When health care professionals take advantage of these funds and submit false or fraudulent claims for financial profit, every Virginia resident suffers.

In 2015, the Virginia Medicaid Fraud Control Unit prosecuted 59 criminal convictions and 21 civil settlements and judgements, recovering over $11 million in stolen Virginia Medicaid funds. A large majority of these recoveries were obtained using information provided by whistleblowers - physicians, pharmacists, nurses, medical device manufacturers, sales reps, physical therapists and other health care professionals who report knowledge of Virginia Medicaid fraud.

Health care professionals are in the unique position to gain inside knowledge of Virginia Medicaid fraud. The government provides cash incentives and powerful protections for whistleblowers who are willing to come forward with knowledge of Virginia Medicaid fraud. Do you suspect your employer is participating in a scheme to profit financially from Virginia Medicaid? You may be eligible for a significant cash award. Contact the Medicaid Fraud Hotline today for a free, immediate case evaluation to determine your eligibility to file a claim.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

Review the Various Types of Medicaid Fraud

Reporting Virginia Medicaid Fraud

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What Virginia Laws Give Rights to Medicaid Fraud Whistleblowers?

The Virginia Fraud Against Taxpayers Act (VFATA), Va. Code Ann. §§8.01-216.1 et seq., allows whistleblowers with information regarding suspected Virginia Medicaid Fraud to file a claim on behalf of the government and share in a percentage of any recovery. Any person who commits any of the following acts is in violation of the VFATA:

  • Knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval;
  • Knowingly makes, uses, or causes to be made or used, a false record or statement material to a false or fraudulent claim;
  • Conspires to commit a violation of the VFATA;
  • Has possession of property or money used by the Commonwealth and knowingly delivers less than all such money or property;
  • Intending to defraud the Commonwealth, makes or delivers a receipt without completely knowing that the information on the receipt is true;
  • Knowingly makes a false statement material to an obligation to pay the Commonwealth or knowingly conceals, avoids or decreases an obligation to pay the Commonwealth.

"Knowing" and "knowingly" mean that a person has actual knowledge of the information, acts in deliberate ignorance of the truth or falsity of the information, or acts in reckless disregard of the truth or falsity of the information and require no proof of specific intent to defraud.

Violation of the VFATA is punishable by a civil penalty of between $5,500 and $11,000, plus three times the amount of damages sustained by the Commonwealth and reasonable attorney fees and costs of a civil action brought to recover any such penalties or damages.

Fight Virginia Medicaid Fraud and take a step to provide future Virginia generations with quality, affordable health care. The law protects whistleblowers from employer retaliation in response to reporting fraud and pays significant cash rewards for information leading to government recovery. Call the Medicaid Fraud Hotline now and discover your options for filing successful whistleblower claim.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

Are Virginia Whistleblowers Protected From Employer Retaliation After Reporting Medicaid Fraud?

Under the Virginia Fraud Against Taxpayers Act (VFATA), Va. Code Ann. §§8.01-216.1 et seq., if an employee is discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against because of lawful acts done by the employee in furtherance of an action or other efforts to stop a violation of the VFATA, that employee may file a claim seeking remedies, including:

  • reinstatement with the same seniority status that employee would have had but for the discrimination
  • two times the amount of back pay
  • interest on the back pay
  • compensation for any special damages
  • litigation costs and reasonable attorney fees

The Virginia Fraud and Abuse Whistleblower Protection Act, Va. Code Ann. §§ 2.2-3009 et seq., ensures that whistleblowers are freely able to report information regarding Virginia Medicaid fraud. No employer may threaten, discriminate or retaliate against a whistleblower because the whistleblower is requested or subpoenaed by an appropriate authority to participate in an investigation, hearing, or inquiry by an appropriate authority or in a court action.

To file a claim under the Virginia Whistleblower Protection Act, a citizen who discloses information about suspected Virginia Medicaid fraud must do so in good faith and upon a reasonable belief that the information is accurate.

In a proceeding commenced against any employer under this section, the court, if it finds that a violation was willfully and knowingly made, a civil penalty of between $500 and $2,500 must be paid into the Fraud and Abuse Whistle Blower Reward Fund. The court may also award the whistleblower:

  • reinstatement to the same position or, if the position is filled, to an equivalent position
  • back pay
  • full reinstatement of fringe benefits and seniority rights
  • reasonable attorney fees and costs.

If you have been fired, demoted or otherwise harassed by your employer for speaking out regarding Virginia Medicaid Fraud, contact the Medicaid Fraud Hotline immediately. Timing is critical in filing a whistleblower claim. Only the first to file a claim is eligible for the cash reward and statutes of limitations apply. Call the Medicaid Fraud Hotline now and learn your rights and eligibility for a cash reward during your free, no obligation consultation.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

What Cash Awards Are Paid for Reporting Virginia Medicaid Fraud?

Under the Virginia Fraud Against Taxpayers Act (VFATA), Va. Code Ann. §§8.01-216.1 et seq., if the Commonwealth proceeds with a whistleblower action, the whistleblower is entitled to receive between 25% and 30% of the proceeds of the action or settlement of the claim, depending upon the extent to which the person substantially contributed to the prosecution of the action. If the Commonwealth does not proceed with the action, the whistleblower is entitled to receive an amount between 25% and 30% of the proceeds of the award or settlement.

The whistleblower is also entitled to receive an amount for reasonable expenses that the court finds to have been necessarily incurred, plus reasonable attorneys' fees and costs.

Under the Virginia Fraud and Abuse Whistleblower Protection Act, Va. Code Ann. §§ 2.2-3009 et seq., any whistleblower disclosing information of Virginia Medicaid fraud where the disclosure results in a recovery of at least $5,000 may file a claim for a reward amount of up to 10% of the recovered amount under the Fraud and Abuse Whistleblower Reward Fund.

Are There Time Limitations on Reporting Virginia Medicaid Fraud? (Title)

Under the Virginia Fraud Against Taxpayers Act (VFATA), Va. Code Ann. §§8.01-216.1 et seq., a whistleblower action must be brought within:

  • 6 years of the date on which the violation is committed, or
  • 3 years of the date when facts material to the right of action are known or reasonably should have been known, but
  • no more than 10 years after the date on which the violation is committed, whichever occurs last.

Under the anti-retaliation provisions of the Virginia Fraud Against Taxpayers Act (VFATA), Va. Code Ann. §§8.01-216.1 et seq., an action must be brought within 3 years of the date the discrimination occurred.

Under the Virginia Fraud and Abuse Whistleblower Protection Act, Va. Code Ann. §§ 2.2-3009 et seq., all actions must be brought within 3 years of the date the unlawful discharge, discrimination, or retaliation occurs.

Medicaid Fraud Hotline: 888.742.7248 or Report Online

3 Easy Steps to Help you Decide

Whether You Should Report Medicaid Fraud

If you have information regarding Medicaid Fraud in the State of Virginia, contact the Medicaid Fraud Hotline or fill out the online report form.

Government Awards of Over $1 Million for Information on Medicaid Fraud
Medicaid Fraud Hotline: 888.742.7248 or Report Online